Jones, Yomei, Truong, Mandy, Preece, Cecilia, Cass, Alan, Heerink, Fiona, McDonald, Stephen, Jones, Scott, Mallett, Andrew John, Majoni, Sandawana William, Sajiv, Cherian, Patankar, Khalil, Mulholland, Eddie, Woldeyohannes, Solomon, and Lawton, Paul (2024) Study protocol: Return to Country, an Australia-wide prospective observational study about returning First Nations renal patients home. BMJ Open, 14 (11). e095727.

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Abstract

Introduction In Australia, kidney failure treatment disparities exist between Aboriginal and/or Torres Strait Islander (First Nations) and non-First Nations people. Despite persistent calls from First Nations patients with kidney failure, they are less likely to have treatment that allows them to live at home.

Methods and analysis This is a prospective, multicentre study based in Australia. The aim of the study is to characterise the socioeconomic, environmental, health service and biomedical factors driving the health outcomes and patterns of health service utilisation experienced by First Nations patients and investigate whether health service changes to address these identified barriers can achieve higher rates of renal replacement therapy at home on country. This will be achieved by mixed-methods data collection at health service (audit and process data), staff (surveys and qualitative interviews) and patient (survey testing, feedback sessions, health outcomes) levels. A process evaluation will identify barriers and enablers to health services changes in relation to cultural safety. Baseline and follow-up data will be compared to assess the extent to which health services change their service delivery and the impact on health outcomes for First Nations patients with kidney failure. Qualitative and quantitative data will be integrated to provide an in-depth understanding of project outcomes and impacts.

Item ID:	85310
Item Type:	Article (Scholarly Work)
ISSN:	2044-6055
Copyright Information:	This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
Funders:	National Health and Medical Research Council of Australia (NHMRC)
Projects and Grants:	NHMRC GNT1158075
Date Deposited:	01 May 2025 02:37
FoR Codes:	45 INDIGENOUS STUDIES > 4504 Aboriginal and Torres Strait Islander health and wellbeing > 450411 Aboriginal and Torres Strait Islander medicine and treatments @ 50% 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320214 Nephrology and urology @ 50%
SEO Codes:	21 INDIGENOUS > 2103 Aboriginal and Torres Strait Islander health > 210302 Aboriginal and Torres Strait Islander health status and outcomes @ 100%
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